WO2006135766A3 - Regional therapies for treatment of pain - Google Patents

Regional therapies for treatment of pain Download PDF

Info

Publication number
WO2006135766A3
WO2006135766A3 PCT/US2006/022519 US2006022519W WO2006135766A3 WO 2006135766 A3 WO2006135766 A3 WO 2006135766A3 US 2006022519 W US2006022519 W US 2006022519W WO 2006135766 A3 WO2006135766 A3 WO 2006135766A3
Authority
WO
WIPO (PCT)
Prior art keywords
therapeutic agent
systems
infusion device
delivery
frequency stimulation
Prior art date
Application number
PCT/US2006/022519
Other languages
French (fr)
Other versions
WO2006135766A2 (en
Inventor
Kenneth T Heruth
Mark S Lent
Ruchika Singhal
Michael J Schendel
Original Assignee
Medtronic Inc
Kenneth T Heruth
Mark S Lent
Ruchika Singhal
Michael J Schendel
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US60/689,203 priority Critical
Priority to US68920405P priority
Priority to US68916805P priority
Priority to US68920105P priority
Priority to US68920305P priority
Priority to US68920205P priority
Priority to US60/689,168 priority
Priority to US60/689,201 priority
Priority to US60/689,202 priority
Priority to US60/689,204 priority
Priority to US60/700,627 priority
Priority to US70062705P priority
Priority to US60/761,823 priority
Priority to US76182306P priority
Priority to US11/374,793 priority patent/US8244360B2/en
Priority to US11/375,492 priority
Priority to US11/374,852 priority
Priority to US11/375,492 priority patent/US7890166B2/en
Priority to US11/374,793 priority
Priority to US11/374,852 priority patent/US7813803B2/en
Application filed by Medtronic Inc, Kenneth T Heruth, Mark S Lent, Ruchika Singhal, Michael J Schendel filed Critical Medtronic Inc
Publication of WO2006135766A2 publication Critical patent/WO2006135766A2/en
Publication of WO2006135766A3 publication Critical patent/WO2006135766A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M5/14244Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
    • A61M5/14276Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body specially adapted for implantation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/025Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36071Pain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372Arrangements in connection with the implantation of stimulators
    • A61N1/37211Means for communicating with stimulators
    • A61N1/37217Means for communicating with stimulators characterised by the communication link, e.g. acoustic or tactile
    • A61N1/37223Circuits for electromagnetic coupling
    • A61N1/37229Shape or location of the implanted or external antenna
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/05General characteristics of the apparatus combined with other kinds of therapy
    • A61M2205/054General characteristics of the apparatus combined with other kinds of therapy with electrotherapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/35Communication
    • A61M2205/3507Communication with implanted devices, e.g. external control
    • A61M2205/3523Communication with implanted devices, e.g. external control using telemetric means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/172Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/172Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
    • A61M5/1723Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic using feedback of body parameters, e.g. blood-sugar, pressure

Abstract

Systems and methods for coordinated delivery of a therapeutic agent and low (less than about 20 Hz) and high (greater than about 50 Hz)frequency stimulation therapy are described. The systems include a control unit for coordinating therapy delivery between an infusion device and a pulse generator, such that a therapeutic agent is administered at a predetermined time relative to application of either low frequency or high frequency stimulation. For example, the control unit may instruct the infusion device to deliver therapeutic agent at a predetermined time prior to delivery of low frequency stimulation. Systems that include more than one infusion device or an infusion pump capable of delivering more than one therapeutic agent are also described.
PCT/US2006/022519 2005-06-09 2006-06-09 Regional therapies for treatment of pain WO2006135766A2 (en)

Priority Applications (20)

Application Number Priority Date Filing Date Title
US68920405P true 2005-06-09 2005-06-09
US68916805P true 2005-06-09 2005-06-09
US68920105P true 2005-06-09 2005-06-09
US68920305P true 2005-06-09 2005-06-09
US68920205P true 2005-06-09 2005-06-09
US60/689,203 2005-06-09
US60/689,168 2005-06-09
US60/689,201 2005-06-09
US60/689,202 2005-06-09
US60/689,204 2005-06-09
US70062705P true 2005-07-19 2005-07-19
US60/700,627 2005-07-19
US76182306P true 2006-01-25 2006-01-25
US60/761,823 2006-01-25
US11/375,492 2006-03-14
US11/374,852 2006-03-14
US11/375,492 US7890166B2 (en) 2005-06-09 2006-03-14 Regional therapies for treatment of pain
US11/374,793 2006-03-14
US11/374,852 US7813803B2 (en) 2005-06-09 2006-03-14 Regional therapies for treatment of pain
US11/374,793 US8244360B2 (en) 2005-06-09 2006-03-14 Regional therapies for treatment of pain

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP20060772721 EP1904159B1 (en) 2005-06-09 2006-06-09 Regional therapies for treatment of pain

Publications (2)

Publication Number Publication Date
WO2006135766A2 WO2006135766A2 (en) 2006-12-21
WO2006135766A3 true WO2006135766A3 (en) 2007-03-15

Family

ID=37075167

Family Applications (3)

Application Number Title Priority Date Filing Date
PCT/US2006/022717 WO2006133443A2 (en) 2005-06-09 2006-06-09 Regional therapies for treatment of pain
PCT/US2006/022566 WO2006135792A1 (en) 2005-06-09 2006-06-09 Regional therapies for treatment of pain
PCT/US2006/022519 WO2006135766A2 (en) 2005-06-09 2006-06-09 Regional therapies for treatment of pain

Family Applications Before (2)

Application Number Title Priority Date Filing Date
PCT/US2006/022717 WO2006133443A2 (en) 2005-06-09 2006-06-09 Regional therapies for treatment of pain
PCT/US2006/022566 WO2006135792A1 (en) 2005-06-09 2006-06-09 Regional therapies for treatment of pain

Country Status (3)

Country Link
US (3) US8244360B2 (en)
EP (2) EP1919552A2 (en)
WO (3) WO2006133443A2 (en)

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US7890166B2 (en) 2011-02-15
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US20070021801A1 (en) 2007-01-25
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US8244360B2 (en) 2012-08-14
US7813803B2 (en) 2010-10-12

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